Active NPI
National Mobile X-Ray LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Morrisville, NC
National Provider Identifier
1336299338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- NATIONAL MOBILE X-RAY LLC
- Practice address
- 251 Dominion Drive 112
Morrisville, NC 27560 - Phone
- (980) 202-5227
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridget Dunbar
- Title
- Coo
- Phone
- (512) 673-7552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
251 Dominion Drive 112
Morrisville, NC 27560
Mailing address
2121 Lohman'S Crossing
Ste 504 PMB 454
Lakeway, TX 78734-1216
Phone (980) 202-5227
Other practice location 1
2121 Lohman's Crossing PMB 454
Lakeway, TX 78734-3217
Phone (980) 202-5227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071212000517 | NC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6204926470 | Practice locations: Morrisville, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551139200000",
"number": "1336299338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 LOHMAN'S CROSSING",
"address_2": "STE 504 PMB 454",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787341216",
"telephone_number": "980-202-5227",
"fax_number": "919-876-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 DOMINION DRIVE 112",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "27560",
"telephone_number": "980-202-5227"
}
],
"practiceLocations": [
{
"address_1": "2121 Lohman's Crossing PMB 454",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787343217",
"country_code": "US",
"telephone_number": "980-202-5227",
"fax_number": "919-876-1307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIONAL MOBILE X-RAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2019-02-26",
"status": "A",
"authorized_official_last_name": "DUNBAR",
"authorized_official_first_name": "BRIDGET",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "512-673-7552"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.